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<br />CONDIT!ONS OF PERMIT AFFIDAVI1
<br />A~ ~NOTICE OF DEED RESTRICTIONS .
<br />The undersigned understands that this perlit lay be subject to "deed restrictions" which lay be tore restrictive than City
<br />regulations. The undersigned assules responsibility for cOlpliance with any applicable deed restrictions.
<br />
<br />B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES
<br />If the owner has hired a contractor or contractors to undertake work, they lay be required to be licensed in accordance with
<br />state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor lay be
<br />cited for a lisde.eanor violation under state law. If the owner Dr intended contractor are uncertain as to what licensing
<br />require.ents lay apply for the intended work, they are advised to contact the City of Zephyrhills Building Departtent, 18131
<br />788-6611.
<br />
<br />Further.ore, if the owner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the
<br />"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
<br />you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
<br />as contractor that lay be an indication that he is not properly licensed and is not entitled to pertitting privileges in the
<br />City of Zephyrhills.
<br />
<br />C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
<br />
<br />D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
<br />I certify that I, the applicant, have been provided with a copy of "Florida's Construction lien law - HOleowner's Protection
<br />Guide" prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is sOleone other than the
<br />"owner", I certify that I have obtained a copy of the above described doculent and prolise in good faith to deliver it to the
<br />"owner" prior to cOllence.ent.
<br />
<br />E. CONTRACTOR'S/OWNER'S AFFIDAVIT
<br />I certify that all the inforlation in this application is accurate and that all work will be done in cOlpliance with all
<br />applicable laws regulating construction, zoning, and land develop.ent.
<br />
<br />Application is hereby lade to obtain a per.it to do work and installation as indicated. I certify that no work or
<br />installation has cOI.enced prior to. issuance of a per.it and that all work will be perforled to leet standards of all laws
<br />regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other governlental agencies .ay apply to the intended work, and that it is
<br />ty responsibility to identify what actions I lust take to be in cOlpliance. Such agencies include but are not litited to:
<br />f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands,
<br />Water/Wastewater Treat.ent
<br />f Southwest Florida Water ManaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses
<br />f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
<br />f Departlent of Health L Rehabilitative Services, Environlental Health Unit - Wells, Wastewater Treattent, Septic Tanks
<br />f US Environ.ental Protection AQency - Asbestos abatelent
<br />I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
<br />addressing a "co.pensating volu.e" will be sub.itted which is prepared by a professional engineer registered in the State of
<br />Florida prior to perlit issuance.
<br />
<br />A perlit issued shall be' construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official fro. thereafter
<br />requiring a correction of errors in plans, construction, Dr violations of any code. Every pertit issued shall becote invalid
<br />unless the work authorized by such perlit is cOllenced within six lonths of issuance, or if work authorized by the per.it is
<br />suspended or abandoned for a period of six .onths after the tile the work is cot.enced. One 90 day extension of tite, tay be
<br />allowed for the perlit with fee charge of tI5.00. The extension shall be requested in writing to the Building Official. An
<br />approved inspection lust be logged during each six lonth period, or the project will be considered abandoned.
<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT ~Y RESULT IN YOUR PAYING TWICE FOR IKPROVEMENTS TO YOUR
<br />PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR lENDER OR AN ATTORNEY BEFORE IN YOUR NOTICE OF
<br />COM NCEMENT. JOBS UNDER $2,50 E DO NOT NEED TO RECORD A D POST A "NOTICE OF COKME CEMENT".
<br />
<br />
<br />
<br />\c.<\.:\
<br />who is pe e or who has
<br />produced
<br />as identification and who~did not)
<br />
<br />take av,~,,\~~ _
<br />(Signat~~ -S~ \-\ i\-<J~
<br />
<br />(Name Typed, ~nted or Stampe~
<br />NOTARY PUBLI C
<br />
<br />
<br />STATE OF FLORIDA (\
<br />COUHTY OF V c:-...,S Q. ~
<br />The foregoing i~t~ument was ac~n~Wledged
<br />befcore me this ~ \ , 19 by
<br />
<br />-SCC{ O'M.l:J l.:J \hi \U.(
<br />who is ~r~y kno~o me or who has
<br />produced
<br />as identification
<br />take an th
<br />
<br />
<br />(Signatur
<br />
<br />'Qa..~~ D
<br />The foregoing instrument was acknowledged
<br />before me this ~"t..~ \. ,19:1l by
<br />
<br />STATE OF FLORIDA
<br />COUNTY OF
<br />
<br />
<br />.......... BETTY JEAN TIPTON
<br />~i~'f.t'~.,
<br />i.i \.\ MY COMMISSION' CC 233M7
<br />: ~ EXPIPfS: 0cIDber 6. 1996
<br />. ..t:.' BandId TIvu NolIIy PublIc UndIIwIIWI
<br />
<br />
<br />BETTY JEAN TIPTON
<br />... MY COMMISSION' CC 233M7
<br />~j EXPIPfS: 0ct0bIr e. 1.
<br />r,.'<t..- IlOndId 11wu NoBy PublIc UndIIwlltIII
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